MARY ELLEN SAVAGE (NPI# 1417930629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417930629 |
| Entity Type | Individual |
| Full Name | MARY ELLEN SAVAGE |
| Credential | MD |
| Practice Address |
1 Long Wharf Dr New Haven CT 06511-5991 |
| Mailing Address |
1 Long Wharf Dr Ste321 New Haven CT 06511-5991 |
| Practice Telephone | 2037814600 |
| Practice Fax Number | 2037814624 |
| Mailing Telephone | 2037814600 |
| Mailing Fax Number | 2037814624 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
034013 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
034013 | CT | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
034013 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004082260 | 05 | |
| CT | 008023170 | 05 | |
| CT | 008042339 | 05 | |
| CT | 004041000 | 05 | |
| CT | 008001325 | 05 | |
| CT | 008022622 | 05 | |
| CT | 008022626 | 05 | |
| CT | 008039745 | 05 | |
| CT | 004082286 | 05 | |
| CT | 004217099 | 05 | |
| CT | 500000315 | 05 | |
| CT | APT FOUNDATION PTAN | C01033 | 01 |
| CT | 008024427 | 05 | |
| CT | 001340132 | 05 | |
| CT | 008003745 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255598199 | Mary Linda Savage | Social Worker | 535 S Alma School Rd Lot 6, Mesa, AZ 85210-1040 | 2008-05-19 |
| 1942534508 | Mary Megan Savage | Occupational Therapist | 1600 Riverfront Dr, Little Rock, AR 72202 | 2009-09-29 |
| 1851459036 | Mary Elizabeth Savage | Dentist | 9930 Grubbs Rd, Suite Ll40, Wexford, PA 15090-9643 | 2006-12-04 |
| 1629180039 | Mary B Savage | Social Worker | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-08-31 |
| 1215906201 | Mary Margery Savage | Physical Therapist | 1005 Midwestern Pkwy, Wichita Falls, TX 76302-2211 | 2006-03-14 |
| Street Address |
1 LONG WHARF DR |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510440 | Jane Lawrence-riddell | Nurse Practitioner | 1 Long Wharf Dr, Suite 105, New Haven, CT 06511-5991 | 2005-10-03 |
| 1033726856 | Mekessia Richards-carby | Nurse Practitioner | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2020-09-25 |
| 1942843081 | Cassandra Marie Irizarry | Counselor | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2019-10-22 |
| 1003463159 | Ashley Antonucci | Nurse Practitioner | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2019-08-22 |
| 1720559438 | Yvonne Bolumole | Registered Nurse | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2018-12-07 |
| 1295206803 | Debbie A. Koonce | Licensed Practical Nurse | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2018-12-07 |
| 1659862274 | Nathan Lipkind | Social Worker | 1 Long Wharf Dr, New Haven, CT 06511 | 2018-05-21 |
| 1851893549 | Sammy Falcon | Counselor | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2018-03-08 |
| 1891217022 | Lisa Magistro | Nurse Practitioner | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2017-07-10 |
| 1972036622 | Julie A. Mcglynn | Genetic Counselor, MS | 1 Long Wharf Dr, 2nd Floor; Room 293, New Haven, CT 06511-5991 | 2017-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023370186 | Maria Ghanbari Motlagh | Psychiatry & Neurology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-06-13 |
| 1972724888 | Child Adult and Addiction Psychiatric Services LLC | Psychiatry & Neurology | 123 York St, Suite 1-d, New Haven, CT 06511-5614 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1154583748 | Zinaida Boutaeva | Psychiatry & Neurology | 6232 Avalon Dr W, Orange, CT 06477-3679 | 2008-06-25 |
| 1144406802 | Shanthi Mogali | Psychiatry & Neurology | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2008-01-11 |
| 1669402343 | Jean Carl Jarda | Psychiatry & Neurology | 28-2 Shunpike Rd, Cromwell, CT 06416 | 2006-07-05 |
| 1336124676 | Yuencheng Han | Psychiatry & Neurology | 750 Straits Tpke, Middlebury, CT 06762-2833 | 2005-12-09 |
| 1831647957 | Straun Health & Wellness | Psychiatry & Neurology | 1224 Mill St, Bldg B, East Berlin, CT 06023-1159 | 2016-09-18 |
| 1528444346 | Marie-josee A. Lynch | Psychiatry & Neurology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-08-04 |
| 1215367081 | Gengyun Wen | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2013-11-15 |
| 1043560287 | Michael Kofi Adusei | Psychiatry & Neurology | 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 | 2012-09-14 |
| 1205077542 | Brighter Concept Inc. | Psychiatry & Neurology | 2000 Post Rd, Suite # Ll 105, Fairfield, CT 06824-5730 | 2009-03-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY ELLEN SAVAGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.